scholarly journals Measuring Staff Empowerment Regarding Health Care for Clients with Intellectual Disabilities

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Joanne Wilkinson ◽  
Nechama W. Greenwood ◽  
Claire Tienwey Wang ◽  
Laura F. White ◽  
Larry Culpepper
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Intellectual Disabilities ◽  
Health Care Access ◽  
Breast Cancer Mortality ◽  
Care Access ◽  
Direct Support ◽  
Reliable Instrument ◽  
Tool Set ◽  
The Impact

Background. Women with intellectual disabilities (ID) contract breast cancer at the same rate as the general population but have higher breast cancer mortality and lower rates of breast cancer screening. Many women with ID live in group homes or supported residences where they are cared for by direct support workers. While direct support workers are thought to influence client health, this effect is underresearched, and we lack tools for measuring staff empowerment and perceptions regarding client health. Methods. We developed and validated an instrument, the staff empowerment tool (SET), to measure staff empowerment as related to supporting clients in preventive health. Results. The SET was found to be a reliable instrument for measuring staff activation and empowerment in helping clients access mammography screening. Discussion. Quantifying staff empowerment and perspectives is important in studying and reducing disparities among adults with ID, a vulnerable population. Further research to determine the impact of staff empowerment levels on their clients’ health and health care access is suggested. The SET is a valuable tool for measuring the construct of staff empowerment, evaluating interventions, and collecting data regarding variation in staff empowerment.

scholarly journals 482. Impact of COVID-19 Pandemic on Psychosocial and Clinical Factors among people with and without HIV living in Miami

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S308-S308
Author(s):  
Patricia RaccamarichClaudia S Uribe ◽  
Ana S Salazar Zetina ◽  
Emily K Montgomerie ◽  
Douglas Salguero ◽  
Alejandro M Mantero ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
People Living With Hiv ◽  
Coping With Stress ◽  
Care Access ◽  
Significant Difference ◽  
Physical Consequences ◽  
The Impact ◽  
Hiv Negative

Abstract Background As the COronaVIrus Disease 2019 (COVID-19) continues to unfold, drastic changes in daily life pose significant challenges on mental and clinical health. While public health interventions such as national lockdowns and social distancing are enforced to reduce the spread of COVID-19, the psychosocial and physical consequences have yet to be determined that may disproportionately affect people living with HIV (PLWH). Methods To evaluate the impact of COVID-related stress on mental and clinical health, we conducted a 20-minute questionnaire eliciting sociodemographic information, clinical and psychological factors from people living in Miami, Fl. All individuals >18 years with or without a history of COVID-19 were included. Participating PLWH were recruited from an existing HIV registry and HIV uninfected participants from community flyers and word of mouth. Results A total of 135 participants were recruited from 05/2020-06/2020. The mean age was 50 years old, 73/135 (54%) were female, and 102/135 (75%) were PLWH. Among participating PLWH, 60/102 (58.8%) self-identified as African American, and 9/102 (8.8%) were positive for COVID-19 by a commercially approved test. Among HIV-negative participants, 15/33 (45.5%) self-identified as White and 11/33 (33%) were positive for COVID-19. Both PLWH and HIV-negative participants described significant disruptions in health care access (47%), difficulty paying basic needs (41%), and feelings of anxiety and depression (48%); there was no statistically significant difference by HIV status. However, HIV negative participants were less likely to experience job loss and income disruption compared to PLWH during the pandemic (70% for HIV-negative vs 48% for PLWH; OR 0.40, p=0.03). Conclusion The impact of COVID-19 on emotional and clinical health is significant in both PLWH and HIV-negative groups. These findings highlight the need for providing mental and physical health care during the pandemic, especially for coping with stress and anxiety during these difficult times and ensuring adequate access to health care. Disclosures All Authors: No reported disclosures

scholarly journals Health Care Access and Breast Cancer Screening Among Latinas Along the California–Mexican Border

2013 ◽  
Vol 16 (4) ◽  
pp. 670-681 ◽  
Author(s):  
Sheila F. Castañeda ◽  
Vanessa L. Malcarne ◽  
Pennie G. Foster-Fishman ◽  
William S. Davidson ◽  
Manpreet K. Mumman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Health Care Access ◽  
Care Access

scholarly journals The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China

2021 ◽  
Vol 18 (18) ◽  
pp. 9623
Author(s):  
Haochuan Xu ◽  
Han Yang ◽  
Hui Wang ◽  
Xuefeng Li
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Access ◽  
Migrant Workers ◽  
Health Care Services ◽  
Public Health Care ◽  
Chinese Government ◽  
Care Access ◽  
Care Services ◽  
The Impact

Due to the limitations in the verifiability of individual identity, migrant workers have encountered some obstacles in access to public health care services. Residence permits issued by the Chinese government are a solution to address the health care access inequality faced by migrant workers. In principle, migrant workers with residence permits have similar rights as urban locals. However, the validity of residence permits is still controversial. This study aimed to examine the impact of residence permits on public health care services. Data were taken from the China Migrants Dynamic Survey (CMDS). Our results showed that the utilization of health care services of migrant workers with residence permits was significantly better than others. However, although statistically significant, the substantive significance is modest. In addition, megacities had significant negative moderating effects between residence permits and health care services utilization. Our research results emphasized that reforms of the household registration system, taking the residence permit system as a breakthrough, cannot wholly address the health care access inequality in China. For developing countries with uneven regional development, the health care access inequality faced by migrant workers is a structural issue.

scholarly journals Breast cancer survival in Brazil: How much health care access impact on cancer outcomes?

The Breast ◽  
2020 ◽  
Vol 54 ◽  
pp. 155-159
Author(s):  
Maira Caleffi ◽  
Isabel Crivelatti ◽  
Norah A. Burchardt ◽  
Rodrigo A. Ribeiro ◽  
Yulieth Acevedo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Health Care Access ◽  
Cancer Survival ◽  
Breast Cancer Survival ◽  
Cancer Outcomes ◽  
Care Access

scholarly journals Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women

Cancer ◽  
2020 ◽  
Vol 126 (22) ◽  
pp. 4957-4966
Author(s):  
Marc A. Emerson ◽  
Yvonne M. Golightly ◽  
Allison E. Aiello ◽  
Katherine E. Reeder‐Hayes ◽  
Xianming Tan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Treatment ◽  
Health Care Access ◽  
White Women ◽  
Breast Cancer Treatment ◽  
Latent Classes ◽  
Treatment Delays ◽  
Black And White ◽  
Care Access

Roles for Health Educators in a Time of Health Care Cutbacks: Preventive and Ameliorative Approaches

1984 ◽  
Vol 4 (4) ◽  
pp. 293-302 ◽  
Author(s):  
E. Richard Brown
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Access ◽  
Community Organization ◽  
Public Health Care ◽  
Federal State ◽  
Health Educators ◽  
Care Access ◽  
State And Local ◽  
The Impact

Cutbacks in public health care programs at federal, state, and local levels have reduced the health care access of many low-income persons. Based on findings from several California studies, this article suggests several roles for health educators intended to prevent cutbacks or mitigate their impact. Methods of preventing cutbacks rely on community organization methods and coalitions including health education professional groups. When preventive actions are unsuccessful, health educators may ease the impact of cutbacks by developing adequate education interventions for users of affected services and community organization strategies to improve access to remaining services. Specific methods are suggested and discussed.

scholarly journals Utilization of Breast Cancer Screening in Brazil: An External Assessment of Primary Health Care Access and Quality Improvement Program

2018 ◽  
Vol 4 (1) ◽  
pp. 42-55 ◽  
Author(s):  
Mara Rejane Barroso Barcelos ◽  
Bruno Pereira Nunes ◽  
Suele Manjourany Silva Duro ◽  
Elaine Tomasi ◽  
Rita de Cássia Duarte Lima ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Health Care Access ◽  
Improvement Program ◽  
External Assessment ◽  
Care Access ◽  
Primary Health ◽  
Access And Quality
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